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Millennial patients know less about their health benefits, are less likely to pay their medical bills in full and often don’t save for medical expenses, according to a survey published by TransUnion Healthcare.

St. Louis-based Ascension Health and Renton, Washington-based Providence St. Joseph Health are discussing a merger, according to the Wall Street Journal, which would create a massive nonprofit health system of 191 hospitals in 27 states.

More than a year after first announcing they were negotiating a merger, Dignity Health and Catholic Health Initiatives (CHI) have a definitive agreement to create a massive nonprofit health system based out of Chicago with more than $28 billion in combined revenue.

Optum, the consulting and services arm of health insurance giant UnitedHealth Group, has continued a series of major acquisitions with the announcement it will buy DaVita Medical Group, a division of kidney dialysis firm DaVita, for $4.9 billion.

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The largest hospital system in New York, Northwell Health, announced it will wind down operations of its CareConnect insurance division due to financial losses caused by the Affordable Care Act’s risk adjustment program.

Ascension Health, already the largest integrated health system in the U.S. by number of facilities, will grow larger by acquiring Chicago-based Presence Health, the largest Catholic health system in Illinois.

Moody’s Investor Service released its latest review of financial performance for the 323 not-for-profit hospitals it rates on Aug. 21, showing tighter profit margins and a milestone being reached for outpatient revenue in 2016 while retaining a stable outlook for the sector.

In a first for the Internal Revenue Service (IRS), it stripped a hospital’s nonprofit tax status over failing to meet charity care requirements which went into effect, though the unnamed hospital also claimed it didn’t want or need tax-exempt status.

If payment of cost-sharing reduction subsidies, or CSRs, for insurers offering coverage on the Affordable Care Act (ACA) marketplace are terminated, premiums would be 20 percent higher on average in 2018 and federal spending would increase, but the ACA market would remain stable, according to the Congressional Budget Office.

CMS has pushed back the deadline for insurers to file their final 2018 rate requests for the Affordable Care Act (ACA) exchanges until Sept. 5, giving companies extra time to decide what plans and prices to offer.

Two studies published in the August edition of Health Affairs emphasized while patients like the idea of having healthcare prices available for comparison shopping, in practice, few actually take advantage of the tools.